Organization Active NPI

Lealtad Adult Living Facility, Inc

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1477960136
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
12527 Issued in FL
Legal business name
LEALTAD ADULT LIVING FACILITY, INC
Practice address
12725 SW 32ND Ter
3056398118
Miami, FL 33175-2646
Phone
(305) 639-8118
NPI assigned
Jul 15, 2014
Last updated
Jul 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Fara Maria Pedraza
Title
Owner
Phone
(305) 639-8118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 12527 FL Primary

Addresses

Primary practice location

12725 SW 32ND Ter
3056398118
Miami, FL 33175-2646

Mailing address

12725 SW 32ND Ter
3056398118
Miami, FL 33175-2646
Phone (305) 639-8118

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1477960136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12725 SW 32ND TER",
            "address_2": "3056398118",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752646",
            "telephone_number": "305-639-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12725 SW 32ND TER",
            "address_2": "3056398118",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752646",
            "telephone_number": "305-639-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEALTAD ADULT LIVING FACILITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "PEDRAZA",
        "authorized_official_first_name": "FARA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-639-8118"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.